Organization
SPONAUGLE WELLNESS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN R SPONAUGLE MD (OWNER)
(727) 945-9198
Entity
Organization
Contact information
Practice address
32815 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3123
(727) 945-9198
(727) 945-1031
Mailing address
32815 US HWY 19 NORTH, PALM HARBOR, FL 34684
(727) 945-9198
(727) 945-1031
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME45587
FL
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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